Pneumonitis complicating methotrexate therapy for pustular psoriasis

被引:11
作者
Ameen, M
Taylor, DA
Williams, IP
Wells, AU
Barker, JNWN
机构
[1] St Thomas Hosp, St Johns Inst Dermatol, London SE1 7EH, England
[2] Hemel Hempstead Gen Hosp, Dept Thorac Med, Hempstead, Herts, England
[3] Royal Brompton Natl Heart & Lung Hosp, London SW3 6NP, England
关键词
methotrexate; pneumonitis; psoriasis;
D O I
10.1046/j.1468-3083.2001.t01-1-00223.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
We report a patient with pustular psoriasis who developed interstitial pneumonitis after receiving weekly methotrexate (MTX) therapy at an average dose of 20 mg for 26 years. The patient responded dramatically to withdrawal of the drug and administration of corticosteroids. Pulmonary toxicity is a rare adverse effect of MTX therapy and is particularly uncommon in psoriatics. As interstitial pneumonitis is a potentially fatal but reversible complication, early respiratory symptoms even in patients on low-dose MTX treatment should be appropriately investigated.
引用
收藏
页码:247 / 249
页数:3
相关论文
共 21 条
[1]   LEUKOCYTE MIGRATION-INHIBITION IN METHOTREXATE-INDUCED PNEUMONITIS - EVIDENCE FOR AN IMMUNOLOGICAL CELL-MEDIATED MECHANISM [J].
AKOUN, GM ;
GAUTHIERRAHMAN, S ;
MAYAUD, CM ;
TOUBOUL, JL ;
DENIS, MF .
CHEST, 1987, 91 (01) :96-99
[2]  
BELLO MJ, 1987, CANCER GENET CYTOGEN, V29, P75
[3]   PULMONARY DISEASE COMPLICATING INTERMITTENT THERAPY WITH METHOTREXATE [J].
CLARYSSE, AM ;
CATHEY, WJ ;
CARTWRIG.GE ;
WINTROBE, MM .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1969, 209 (12) :1861-&
[4]   SUCCESSFUL REINTRODUCTION OF METHOTREXATE AFTER PNEUMONITIS IN 2 PATIENTS WITH RHEUMATOID-ARTHRITIS [J].
COOK, NJ ;
CARROLL, GJ .
ANNALS OF THE RHEUMATIC DISEASES, 1992, 51 (02) :272-274
[5]  
COOPER JAD, 1986, AM REV RESPIR DIS, V133, P321
[6]   Pulmonary function in patients receiving long-term low-dose methotrexate [J].
Cottin, V ;
Tebib, J ;
Massonnet, B ;
Souquet, PJ ;
Bernard, JP .
CHEST, 1996, 109 (04) :933-938
[7]   PULMONARY AND HEPATIC COMPLICATIONS OF METHOTREXATE THERAPY OF PSORIASIS [J].
FILIP, DJ ;
LOGUE, GL ;
HARLE, TS ;
FARRAR, WH .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1971, 216 (05) :881-&
[8]   METHOTREXATE PNEUMONITIS IN A PSORIATIC [J].
FROM, E .
BRITISH JOURNAL OF DERMATOLOGY, 1975, 93 (01) :107-110
[9]   SEVERE PNEUMONITIS OCCURRING DURING METHOTREXATE THERAPY - REPORT OF 2 CASES [J].
GOLDMAN, GC ;
MOSCHELLA, SL .
ARCHIVES OF DERMATOLOGY, 1971, 103 (02) :194-+
[10]   PROGRESSIVE INTERSTITIAL LUNG-DISEASE FROM PROLONGED METHOTREXATE THERAPY [J].
KAPLAN, RL ;
WAITE, DH .
ARCHIVES OF DERMATOLOGY, 1978, 114 (12) :1800-1802